NPI 1639132640
NPI 1639132640DeactivatedUnknown
This NPI was deactivated on Oct 9, 2026. Claims billed under a deactivated NPI are rejected.
This NPI was deactivated in October 2026. Provider. In 2024 Medicare paid $830,596 for 380 patients, and Part D covered 1,837 of their prescriptions, 89% of them generic.
Overview
| NPI | 1639132640 |
|---|---|
| Status | Deactivated Oct 9, 2026 |
| Entity type | Unknown |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 380 |
|---|---|
| Services billed | 1,651 across 11 procedure codes |
| Paid by Medicare | $830,596 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,837 · 1,884 30-day fills |
|---|---|
| Patients | 583 |
| Total drug cost | $89,735 |
| Generic share | 89% of claims |